NURS 6630 Midterm Questions with Verified Solutions

NURS 6630 Midterm Questions with Verified Solutions A patient recently treated following a SA and has a history of schizophrenia, depression, and fibromyalgia. He is currently taking amitriptyline, lisinopril, aspirin, and fluoxetine. Assessing these medications and reason for admission, what is the best cause of action? Review Amitriptyline level A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and the neurotransmitter serotonin. What is the rational? To decrease Serotonin A PMHNP is caring for a patient with schizophrenia and is considering a variety of treatment approaches. Selects a viable treatment with the "dopamine hypothesis of schizophrenia". What action does the PMHNP anticipate this treatment is having on the patient? Hyperactivity in the mesolimbic dopamine pathways mediate the positive symptoms of schizophrenia. A patient is diagnosed with schizophrenia. What increases the potential to mediate the cognitive symptoms of schizophrenia? Achieving underactivity of the mesocorticol projections to the ventromedial prefrontal cortex. What is accurate about the clinical description of psychosis? It is a syndrome that can be associated with a number of psychiatric disorders. A PMHNP is assessing a 29 year old patient who takes antipsychotics that block D2 receptors. The patient develops a common side effect of the medication. What is the side effect? Tardive dyskinesia The PMHNP evaluates the patient for "fear conditioning" when he asks: "Have you ever experienced any type of trauma?" A patient diagnosed with PTSD is prescribed propranolol and the PMHNP understands that he was described this medication for what purpose? Beta-blockers are linked to reconsolidation. Which statement about neurotransmitters is true? Several psychotropic medications have been developed after the discovery of endogenous neurotransmitters and defining their functions. During gene expression, what must occur prior to a gene being expressed? Transcription factor must bind to the regulatory region within the cells nucleus. What characteristics do the nicotinic, cholinergic, serotonin 3, & glycine receptors all have in common? Ligand-gated ion channels with pentameric structure Mr. McCullin is a 64 year old with Parkinson's disease. the PMHNP caring for him wants to start him on a dopamine agonist to help manage and treat this condition. The PMHNP selects this agent because of which action? D2 receptors are the primary binding site for dopamine agonists. As it relates to G-protein linked receptors, what does the PMHNP understand about the medications used in practice? Most medications that act on G-protein linked receptors have antagonistic traits. The PMHNP is considering prescribing a 49 year old male clozapine to treat schizophrenia and SI. Which factor may impact the dose needed to effectively treat this condition? The patient smokes cigarettes. A patient seeking pharmacological treatment for smoking cessation. What drug does the PMHNP prescribe? varenicline (Chantix) A noncompliant patient states "Why do you want me to put this poison in my body?" Identify the best response made by the PMHNP. "Most medications that work in the brain will result in restoring an imbalance of one or more neurotransmitters that your body already produces, helping alleviate symptoms."